Ethiopia: Cost and Impact of Male Circumcision

In support of efforts to scale up male circumcision (MC) in PEPFAR programs, readily available data have been applied to estimate the potential cost and impact of scaling up medical MC services in Gambela, Ethiopia, to reach 80 percent of adult (ages 15–49) and newborn males by 2015. The results presented here are illustrative and for only one possible scenario; the scenarios can be modified to reflect a variety of possible policies at the country level. Key conclusions from this initial scenario are that scaling up the program would result in averting more than 1,500 adult HIV infections over the time period from 2009 to 2025, would result in cumulative net savings of more than US$5.8 million over the same time period, and would require about 14,000 MCs to be performed in the peak year (2012).

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